Mackie, Michael A
Mackie, Michael A is an sole proprietor health care provider with primary practice located at 2003 Cortez Rd W , Bradenton FL 34207-1241. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Mackie, Michael A can be contacted via phone (941) 756-2020.Contact Information
Primary practice address
2003 Cortez Rd W
Bradenton FL 34207-1241
Phone: (941) 756-2020
Fax: (941) 756-4486
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3022 | Florida |
Profile Details
| NPI number | 1972595643 |
|---|---|
| LBN Legal business name | Mackie, Michael A |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 18th, 2005 |
| Last updated | Nov 30th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972595643 | NPPES |
| Florida | Other | 20737Z | INDIVIDUAL MEDICARE ID |
| Florida | MEDICAID | 620192000 | INDIVIDUAL MEDICARE ID |
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